Individual
DARRYL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
5125 SKYLINE RD S, SALEM, OR 97306-9427
(866) 280-4583
(503) 588-6579
Mailing address
5125 SKYLINE RD S, SALEM, OR 97306-9427
(866) 280-4583
(503) 588-6579
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH-0005944
OR
Other
Enumeration date
10/10/2016
Last updated
10/10/2016
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